上颌尖牙错位患者牙齿发育不全的部位特异性。

Site-specificity of tooth agenesis in subjects with maxillary canine malpositions.

作者信息

Peck S, Peck L, Kataja M

机构信息

Department of Orthodontics, Harvard School of Dental Medicine, Boston, Mass., USA.

出版信息

Angle Orthod. 1996;66(6):473-6. doi: 10.1043/0003-3219(1996)066<0473:SSOTAI>2.3.CO;2.

Abstract

Tooth agenesis (hypodontia) was studied in two samples of nonsyndromic subjects possessing either maxillary canine-first premolar transposition (Mx.C.P1; N=43, M9:F34) or palatal displacement of the maxillary canine (PDC; N=58, M21:F37). Agenesis of permanent teeth was identified by x-ray film analysis. Significantly elevated tooth-agenesis frequencies were noted in both samples. Statistically significant differences between the Mx.C.P1 and PDC samples were found in locations of absent teeth, indicating site-specificity of tooth agenesis associated with these canine malpositions. In Mx.C.P1, agenesis of third molars (M3) occurred at a near-normal rate (19%) while maxillary lateral incisor (I2) agenesis showed a thirteen-fold increase (26%). In PDC, the prevalence rate for associated M3 agenesis was 40%, twice the normal rate, while I2 agenesis was 3%, a slight elevation of no statistical significance. These new findings may warrant a hypothesis of anteroposterior site-specific shift in the occurrence of tooth agenesis, associated genetically or epigenetically with distinct anomalies of maxillary canine position and possibly other abnormalities.

摘要

在两组非综合征患者样本中研究了牙发育不全(缺牙症)情况,其中一组患者存在上颌尖牙-第一前磨牙换位(Mx.C.P1;N = 43,男9例:女34例),另一组患者存在上颌尖牙腭向移位(PDC;N = 58,男21例:女37例)。通过X线片分析确定恒牙发育不全情况。在两组样本中均发现牙发育不全频率显著升高。Mx.C.P1组和PDC组在缺牙位置上存在统计学显著差异,表明与这些尖牙错位相关的牙发育不全具有位点特异性。在Mx.C.P1组中,第三磨牙(M3)发育不全发生率接近正常水平(19%),而上颌侧切牙(I2)发育不全发生率增加了13倍(26%)。在PDC组中,相关M3发育不全患病率为40%,是正常患病率的两倍,而I2发育不全患病率为3%,虽有轻微升高但无统计学意义。这些新发现可能支持一个假说,即牙发育不全的发生存在前后位点特异性转移,在基因或表观遗传上与上颌尖牙位置的明显异常以及可能的其他异常相关。

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